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We are pleased to present you with this account information and credit application form. Our success over the years is attributed to a high level of service to our customers. We appreciate the opportunity to add you to our list of valuable customers. In order to maintain this high level of service, we must also maintain a strict credit policy.

Please read this form in its entirety before completing and agreeing to its terms and conditions. This application is for the purchase of all products and services provided by Marathon Energy. Applicant represents that the information given in this application is complete and accurate for each of the Owner Entities ("Owners").

BUYER INFORMATION (All fields marked with an * are required)

*First Name:	*Last Name:
Business Name (if Applicable):	*Day Phone: Night Phone:
*Billing Address:
*City:	E-Mail:
State: Zip:	Date of Birth:
Current Fuel Supplier:	*Social Security No. or TAX ID No.
*Have you ever been sued, in default or in pending litigation with a fuel supplier? With others? Yes No If yes, please explain.
*Have you ever filed for Bankruptcy or Insolvency Proceedings? Yes No If yes, please explain.

DELIVERY & SERVICE INFORMATION

Delivery Address (check if same as Billing Address):
*Street Address:
*City:	State: Zip:
Cross Streets:	*Superintendent:
*Telephone: Cell:	*Delivery Type: Automatic Will Call
Fuel Grade: Tank Size:	Residential Tenants: Commercial Tenants: (please put 0 if none)
*Use Oil for Hot Water: Yes No
Special Instruction for Delivery or Service

BANKING INFORMATION

*Name of Bank:	*Account No:
*Contact Name:	Account Type:
Telephone:	Fax:
City:	State: Zip:

CREDIT CARD INFORMATION

Card Type:	*Card No:
*Expiration Date:	*Security Code:
*Issuing Bank:	*Exact Name on Card:
Billing Address (check if same):
*Street Address:
*City:	State: Zip:
*Use this Card for (must check one): Payment Security

TERMS AND CONDITIONS For value received and in consideration of the credit that may hereafter be extended, the undersigned hereby agrees to pay all indebtedness of Buyer on behalf of Buyer. Furthermore, the Buyer hereby agrees to be liable for any damages resulting there from, including reasonable attorneys' fees. The Undersigned expressly waives notice of acceptance of demand, and notice of nonpayment, and consents to any extension of time of payment of any and all of the indebtedness hereby promised. This agreement shall continue to apply to all sales made, services rendered, and advances made by you to the debtor, and to all such present and future indebtedness however arising. Payment on all indebtedness is due no later than net 30 days from date of invoice. A service charge of one and a half (1.5%) percent per month will be assessed on all invoices thereafter. Seller's maximum liability to Buyer, whether arising from a breach of contract or negligence or otherwise with respect to any claimed damages, including direct, indirect, special, incidental, or consequential damages, shall be limited to the contract price of the goods furnished by the Seller. The representative signing this application on behalf of Buyer is authorized to do so. Buyer and the Undersigned warrant and represent that all information provided in all credit application(s) and purchasing agreement(s), in addition to any information which accompanies this agreement are true and correct. Buyer and the Undersigned further acknowledge that Seller is relying on said information in reviewing this application and in accepting orders. Buyer and/or the Undersigned shall immediately notify Seller of any changes regarding any warranty or representation made on the credit application and/or purchasing agreement(s). Buyer and the Undersigned authorize Seller to investigate this credit application to the extent it deems fit, both now and throughout the course of business between Seller and Buyer. Seller is also authorized to inquire upon any references provided by the Buyer and the Undersigned as to any professional inquiries the Seller may have. Seller may, at its sole discretion, provide a line of credit to Buyer. Seller reserves the right to alter or withdraw said line of credit at any time for any reason whatsoever. Seller shall not be liable for the failure to perform any of its obligations when such failure is caused by or results from strike, blacklisting, boycott, or sanctions however incurred; or acts of God, public enemies, authority of law (including the withdrawal of any government authorization required by either of the parties to carry out the terms of this Agreement), embargo, quarantine, riot, insurrection, a declared or undeclared war, state of war or belligerency or hazard or danger incident thereto. Upon the acknowledgement by Buyer and the Undersigned on this application for credit and on the Terms and Conditions, Buyer and the Undersigned shall be deemed to have agreed to all the terms and conditions contained in this document and any and all purchase orders executed by the buyer. These documents alone are the full and complete expression of the parties. This agreement cannot be changed without the express written agreement of the parties. If any legal action or other proceeding is brought for the enforcement of this agreement, or because of an alleged dispute, breach, default or misrepresentation in connection with any of the provisions of this agreement, the successful or prevailing party or parties shall be entitled to recover reasonable attorneys' fees and other costs incurred in that action or proceeding, in addition to any other relief to which it may be entitled. The parties explicitly agree that reasonable attorney fees for the collection of unpaid goods shall be not less than 25% of the outstanding invoice, including any accrued interest. The waiver by any party of any breach of any provision hereof shall not operate or be construed as a waiver by such party of any subsequent breach. All notices, requests, demands and other communications under this agreement shall be in writing and shall be deemed to have been duly given on the date of service if served personally on the party to whom notice is to be given, or on the fifth (5) day after mailing, if mailed to the party to whom notice is to be given, by first-class mail, registered or certified, postage prepaid, and unless either party should notify the other of a change of address, properly addressed as indicated hereinabove. The headings are for convenience only and shall not in any way affect the interpretation, construction or enforceability of any provision. This application shall, when countersigned by Seller, shall constitute a binding agreement between the parties. The agreement shall be construed and enforced in accordance with the laws of the State of New York, including any choice of law rules. The forum for any action relating to any breach of this agreement shall be the Supreme Court of New York or Civil Court of the City of New York, and venue shall be the County of Kings. The parties hereby agree to both subject matter and in personal jurisdiction in such forum. Buyer further expressly authorizes Seller to file a UCC-1 lien on the property listed in the "Delivery & Service Address Information" section on the opposite side of this application of which Buyer states to have the unanimous authority to do so, should the Seller deem it necessary in order to facilitate this credit application, costs of which will be absorbed by the Seller. In accordance with this UCC lien filing, Buyer further agrees that any prior mortgage or lien be subordinated to this UCC lien placed on the real property by the Seller. Buyer further stipulates that at no time will the Buyer or his agents attempt to remove or disgorge this UCC filing without the prior written consent of the Seller. Further, Buyer does hereby authorize Marathon Energy to charge the credit card submitted on the opposite side of this application as indicated (either for payment or for security deposit) towards purchases made from Marathon Energy. It is understood that if Buyer has indicated to use this credit card as security deposit and Buyer fails to pay any and all invoices within 30 days then Buyer agrees that this credit card will automatically be charged for the full amount due. It is also understood that it will continue to be charged until such time when Buyer will, in writing, by proof of certified mail, with a return receipt, notify Seller to cease charging this particular card and replace it with an alternately acceptable credit card.

I agree to the terms and conditions

I hearby certify

I have read an agree to all the terms and conditions stated above
I am authorized to proceed with this enrollment and my name and title is
All the information I have provided herein are true and correct

First Name:

Last Name:

Title: Sales Representative:

Date:

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